Latoya Nicole Edwards, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010357 Issued in VA

Practice address

250 W Brambleton Ave Ste 101
Norfolk, VA 23510-1505

Phone

(757) 303-1795

Fax

(757) 500-7866

NPI assigned

Feb 2, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thriving Well Holistic Wellness Solutions

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1346868288
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1659870962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W BRAMBLETON AVE STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101505",
            "telephone_number": "757-303-1795",
            "fax_number": "757-500-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BRAMBLETON AVE STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101505",
            "telephone_number": "757-303-1795",
            "fax_number": "757-500-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 S Saratoga St",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234345322",
            "country_code": "US",
            "telephone_number": "757-925-2222",
            "fax_number": "757-925-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LATOYA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Guyton, LCSW
• Edward J. Weisberg, D.D.S. & Associates PC
• Edward J. Weisberg,D.D.S.
• Delanie Dolan Edwards, CSA,CSFA
• Kristi Edwards, LCSW
• Matthew Britton Edwards, CDT
• Paul M Edwards, DMD
• Rebecca Edwards
• Ta-Tanisha Elaine Edwards
• Michael Stewart Eggert, MD

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.